Individual provider Active NPI

Lynde Ross, LCSW

  • Clinical Social Worker
  • Franklin, TN
National Provider Identifier
1407413313
Registry record updated May 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7034 Issued in TN
Practice address
357 Riverside Dr Ste 235
Franklin, TN 37064-8993
Phone
(512) 590-5006
NPI assigned
May 26, 2019
Last updated
May 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7034 TN Primary

Addresses

Primary practice location

357 Riverside Dr Ste 235
Franklin, TN 37064-8993

Mailing address

2016 Brisbane Dr
Spring Hill, TN 37174-8577
Phone (512) 590-5006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 31, 2023 through Dec 31, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7034TNMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558828800000",
    "number": "1407413313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 BRISBANE DR",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371748577",
            "telephone_number": "512-590-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 RIVERSIDE DR STE 235",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370648993",
            "telephone_number": "512-590-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "LYNDE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-26",
        "last_updated": "2019-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.